| JOB TITLE: Credit Balance Specialist II, Revenue Cycle LOCATION: Buckhorn Office Building DEPARTMENT: Revenue Cycle Credit Balances WORK SCHEDULE: Days (M-F 8:00AM – 4:30PM; no weekends or holidays) WORK TYPE: Full Time (1.0 FTE) JOB SUMMARY: Provides the necessary functions to bill, collect, analyze, and adjudicate all hospital and professional accounts and functions within the Geisinger Health System. This position executes and performs programs to insure efficient operations of the Geisinger Health System Revenue Management program in order to resolve credit balances to support GHS operations and strategic initiatives. In the position of Revenue Management Credit Balance Specialist, responsibilities include resolving credits for all patients and third party insurance payers, cash application, adjudicating, identifying, analyzing and associated with approximately $30 million of hospital and professional accounts.
Reports to the Revenue Cycle Credit Balance Manager. COMPETENCIES AND SKILLS: Demonstrates strong mathematical skills.
Demonstrates excellent communication skills, strong organizational skills, interpersonal skills, and writing skills. Demonstrates the ability to work independently and as a member of a team. Demonstrates an extensive understanding of billing, insurance reimbursement and credit balance resolution processes. Demonstrates the ability to effectively communicate in a positive and team oriented environment. Demonstrates familiarity with multiple computerized applications (i.e. Siemens, IDX, Tower, Contract Manager, Cadence, Epic, Electronic Medical Health Record, ePremise, NaviNet, Artiva, etc).
Performs all areas of job functions at a high accuracy rate; with minimal supervision.
Organizes work to effectively utilize time management and maintain workloads at a current status. EDUCATION AND/OR EXPERIENCE: ***If a suitably experienced candidate cannot be found, applicants who meet the basic qualifications but possess fewer years of experience will be considered for hire at a lower level. Salary would commensurate with experience.*** Bachelor's degree in related field preferred.
High School diploma or equivalent required. Minimum of three years of revenue management or related financial/accounting experience required.
OR
Credit Balance Specialist I must be in their current position for two years before being considered for the Credit Balance Specialist II position; or have a minimum of three years of credit balance, revenue management or related financial/accounting experience.
Extensive knowledge of the revenue management and/or regulatory requirements as they relate to the hospital and professional billing and reimbursement for all third party insurance payers, revenue enhancement and the cash application component for the various service lines contained within GHS and the revenue management preferred. Experience within a similar setting of size or volume preferred.
Extensive experience with payers, providers, hospitals and physicians and understand the commensurate requirements for facilitating accounts receivable resolution by service line including cash flow, billing, collection, cash application and customer service related issues preferred.
Experience with IDX, BAR and Siemens applications required in resolving credit balances.
Experience within a centralized business office preferred.
Minimum of one year to learn all job functions regarding job responsibilities and requirements. WORKING CONDITIONS/PHYSICAL DEMANDS: Work is typically performed in an office environment. OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. GEISINGER MEDICAL CENTER: (GMC), located Danville, Pa., the largest tertiary/quaternary care teaching hospital in the region, is licensed for 475 beds, including 89 pediatric beds in the Janet Weis Children’s Hospital. GMC, a Magnet Hospital, maintains the region’s only Level 1 Regional Resource Trauma Center with additional qualifications in pediatrics. GMC offers an array of highly specialized medical and surgical services, including neurosciences, cardiovascular services, transplantation, women’s health (in the Women’s Pavilion), oncology and orthopaedics. The Hospital for Advanced Medicine serves as an integrated center for the most critical patients. Outpatient services are available on and off campus. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter. ** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. *Domestic partner benefits not applicable at Geisinger Holy Spirit. | 
